| NPI | 1982998399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 67885) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036127722) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2023-09-15 |